MEDICARE: HANNAH E. LANE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4325	NC
2	111N00000X	Chiropractor	3782	SC

General Provider Information

NPI Number	:	1902150204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH E. LANE D.C.

Provider Business Mailing Address
First Line	:	1400 FERNWOOD GLENDALE RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-3043
Country	:	US
Telephone Number	:	864-585-5558
Fax Number	:	864-585-9888

Provider Business Practice Location Address
First Line	:	1400 FERNWOOD GLENDALE RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-3043
Country	:	US
Telephone Number	:	864-585-5558
Fax Number	:	864-585-9888

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2012
Last Update Date	:	08/11/2014

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Directions to “ HANNAH E. LANE D.C.” Practice Location

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